PURPOSE Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations. METHODS The Children's Health Assessment and Planning Survey assessed 6,492 primary caregivers of children ages 0-17 years residing in North Texas in 2015. Caregivers reported prior CPS investigations and child healthcare utilization (emergency department [ED] use, unmet medication needs, and unmet medical care needs). PRINCIPLE FINDINGS A total of 408 (5%) caregivers reported their child had a CPS investigation. Children with CPS investigations had greater odds of visiting the ED (OR = 1.9; 95% CI: 1.4, 2.5) and not receiving necessary medical care (OR = 1.9; 95% CI: 1.4, 2.8) compared to children without a CPS investigation. CONCLUSIONS Prior CPS investigation was associated with disparities in receipt of necessary medical care and ED utilization for children.

中文翻译：

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具有儿童保护服务调查历史的儿童中的医疗保健使用模式。

目的检查与没有进行过CPS调查的儿童相比，事先进行过儿童保护服务（CPS）调查的儿童是否具有不同的医疗保健利用率。方法《儿童健康评估和计划调查》评估了2015年居住在北德克萨斯州的6492名0-17岁儿童的主要看护者。看护者报告了先前的CPS调查和儿童医疗利用情况（紧急部门[ED]使用，未满足的药物需求和未满足的医疗要求护理需求）。原则发现共有408名（5％）照顾者报告他们的孩子进行了CPS检查。与没有进行CPS检查的孩子相比，进行过CPS检查的孩子去急诊就诊的可能性更大（OR = 1.9； 95％CI：1.4、2.5）并且没有得到必要的医疗护理（OR = 1.9； 95％CI：1.4、2.8）。 。